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1154883411
JACOB LEE CHILDERS
NORTH PLATTE, NE
NPI
1154883411
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: NE 15447)
Enumeration Date
2019-04-04
Last Update Date
2019-04-04
Business Address
Dr. JACOB LEE CHILDERS
402 N JEFFERS ST
NORTH PLATTE, NE 69101-3931
Phone number: 308-532-7010
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Mailing Address
Dr. JACOB LEE CHILDERS
402 N JEFFERS ST
NORTH PLATTE, NE 69101-3931
Phone number: 308-532-7010
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